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居家护理在预防脑卒中留置尿管患者尿路感染中的应用

胡秀香 梁江云 汤金聚   

  1. 佛山市禅城区向阳医院综合病区,528000 广东省佛山市
  • 出版日期:2018-03-25 发布日期:2018-03-25
  • 基金资助:
    佛山市医学类科技攻关项目(2014AB001381)

Application of home care to prevention of urinary tract infection in stroke patients with indwelling catheterization

  • Online:2018-03-25 Published:2018-03-25

摘要: 目的:研究居家护理在预防脑卒中留置尿管患者尿路感染中的应用及效果。方法:选取2016年1-6月家庭病床科脑卒中留置尿管患者100例为对照组,接受常规留置尿管维护指导;选取2016年7-12月家庭病床科脑卒中留置尿管患者100例为干预组,在常规留置尿管维护的基础上实施4周的居家护理,比较干预前后两组患者的照顾者照顾行为得分、两组患者留置尿管尿路感染率及并发症发生率。结果:干预后,照顾者照顾行为得分高于对照组(P<0.05),干预组尿路感染率及尿液外漏、尿管堵塞、尿管脱落、拔管困难发生率低于对照组(P<0.05),尿道损伤的发生率无统计学意义(P>0.05)。结论:居家护理能够改善照顾者照顾行为,降低脑卒中留置尿管患者相关并发症发生率,有效预防留置尿管引起的尿路感染。

Abstract: Objective: To explore the application and appraisement of home care on prevention of urinary tract infection in stroke patients with indwelling catheterization. Methods: A total of 100 stroke patients with indwelling catheteration in home sickbed from January to June 2016 were selected as the control group, who received conventional nursing direction of indwelling catheteration. Another 100 stroke patients with indwelling catheteration in domestic sickbed from July to December 2016 were selected as the intervention group, who received home care for 4 weeks aside from conventional nursing direction offered to the control group. Indicators including caregivers' caring behavior score, infection rate of indwelling catheteration and incidence of complications of the two groups were compared respectively before and after the intervention. Results: After intervention, the caregivers' caring behavior score of the intervention group was significantly higher than that of the control group (P<0.05), the incidence of urinary tract infection and complications including urinary leakage, urinary blockage, urinary catheter shedding and the rate of difficult extubation of the intervention group was lower than that of the control group (P<0.05), while analysis of the incidence of urethral injury of both groups shown no significant difference (P>0.05). Conclusion: Home care can improve caregivers' caring behavior and reduce the incidence of complications in stroke patients with indwelling catheterization, as well as effectively prevent urinary tract infection caused by indwelling catheterization.